Unusual Le Fort I fracture

      We present an unusual case of Le Fort I fracture in a 94-year-old woman who had had a right hemimaxillectomy 25 years earlier. We could not find a similar case reported. She had fallen at home while wearing her obturator and sustained a hemimaxillary Le Fort I fracture. She had been able to move around until the day of her injury. Examination showed a mobile left maxilla. On attempting to put the obturator back in place, the position of the maxilla would not allow it to fit.


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